ATI PN FUNDAMENTALS PROCTORED EXAM 2023 – NGN-STYLE QUESTIONS & CASE "SCENARIOS" –
ACTUAL QUESTIONS AND CORRECT SOLUTIONS JUST RELEASED THIS YEAR
Core Domains
Safe and Effective Care Environment: Management of Care
Safe and Effective Care Environment: Safety and Infection Control
Health Promotion and Maintenance
Psychosocial Integrity
Basic Care and Comfort
Pharmacological and Parenteral Therapies
Reduction of Risk Potential
Physiological Adaptation
Ethical, Legal, and Professional Standards
Clinical Judgment and Next Generation NCLEX (NGN) Application
Introduction
,This comprehensive examination is designed to assess the fundamental nursing knowledge, clinical judgment, and
critical thinking skills essential for safe and effective practical nursing practice. The exam evaluates competency
across multiple core domains, including safety and infection control, health promotion, basic care and comfort,
pharmacological therapies, and legal-ethical standards. Candidates will demonstrate the ability to apply
theoretical concepts to realistic patient scenarios, prioritize nursing interventions, and make sound clinical
decisions in a variety of healthcare settings. Each question emphasizes the integration of knowledge, skills, and
attitudes required for entry-level PN practice. Successful completion of this assessment indicates readiness to
provide patient-centered, evidence-based care and to successfully pass the ATI PN Fundamentals Proctored
Examination.
SECTION ONE: QUESTIONS 1 – 100
Question 1
A nurse is preparing to administer medications to a patient. Which of the following actions is correct for
identifying the patient?
A. Ask the patient to state their name and date of birth
B. Check the patient's room number on the medication administration record
C. Ask the patient to state their name only
D. Ask the patient to state their date of birth only
,🟢 Correct answer: A
🔴 RATIONALE: Using two patient identifiers (name and date of birth) is the standard of care to ensure the right
patient receives the right medication. The patient should be asked to state their name and date of birth, and
this should be verified against the MAR. Room numbers are not a reliable identifier.
Question 2
A patient is on fall precautions. Which nursing intervention is most appropriate?
A. Keep the bed in the lowest position with the brakes locked
B. Keep the side rails up at all times
C. Keep the bed in the highest position to assist with transfers
D. Place a bedside commode at the foot of the bed
🟢 Correct answer: A
🔴 RATIONALE: Keeping the bed in the lowest position with the brakes locked reduces the risk of injury from a
fall. Side rails should only be used with a physician's order, and the highest position increases fall risk. A
commode at the foot of the bed is not safe.
Question 3
, A patient is experiencing a seizure. Which of the following is the priority nursing action?
A. Place a padded tongue blade in the patient's mouth
B. Restrain the patient to prevent injury
C. Protect the patient's head and maintain a patent airway
D. Administer intravenous diazepam
🟢 Correct answer: C
🔴 RATIONALE: During a seizure, the priority is to protect the patient from injury, especially by protecting the
head and maintaining a patent airway. Do not place anything in the mouth, and do not restrain the patient.
Question 4
A nurse is reinforcing teaching with a patient who has a new prescription for a metered-dose inhaler (MDI).
Which instruction should the nurse include?
A. "Inhale slowly and deeply while pressing the canister."
B. "Hold your breath for 10 seconds after inhaling."
C. "Exhale immediately after inhaling."
D. "Use the inhaler only when you have symptoms."
🟢 Correct answer: B
ACTUAL QUESTIONS AND CORRECT SOLUTIONS JUST RELEASED THIS YEAR
Core Domains
Safe and Effective Care Environment: Management of Care
Safe and Effective Care Environment: Safety and Infection Control
Health Promotion and Maintenance
Psychosocial Integrity
Basic Care and Comfort
Pharmacological and Parenteral Therapies
Reduction of Risk Potential
Physiological Adaptation
Ethical, Legal, and Professional Standards
Clinical Judgment and Next Generation NCLEX (NGN) Application
Introduction
,This comprehensive examination is designed to assess the fundamental nursing knowledge, clinical judgment, and
critical thinking skills essential for safe and effective practical nursing practice. The exam evaluates competency
across multiple core domains, including safety and infection control, health promotion, basic care and comfort,
pharmacological therapies, and legal-ethical standards. Candidates will demonstrate the ability to apply
theoretical concepts to realistic patient scenarios, prioritize nursing interventions, and make sound clinical
decisions in a variety of healthcare settings. Each question emphasizes the integration of knowledge, skills, and
attitudes required for entry-level PN practice. Successful completion of this assessment indicates readiness to
provide patient-centered, evidence-based care and to successfully pass the ATI PN Fundamentals Proctored
Examination.
SECTION ONE: QUESTIONS 1 – 100
Question 1
A nurse is preparing to administer medications to a patient. Which of the following actions is correct for
identifying the patient?
A. Ask the patient to state their name and date of birth
B. Check the patient's room number on the medication administration record
C. Ask the patient to state their name only
D. Ask the patient to state their date of birth only
,🟢 Correct answer: A
🔴 RATIONALE: Using two patient identifiers (name and date of birth) is the standard of care to ensure the right
patient receives the right medication. The patient should be asked to state their name and date of birth, and
this should be verified against the MAR. Room numbers are not a reliable identifier.
Question 2
A patient is on fall precautions. Which nursing intervention is most appropriate?
A. Keep the bed in the lowest position with the brakes locked
B. Keep the side rails up at all times
C. Keep the bed in the highest position to assist with transfers
D. Place a bedside commode at the foot of the bed
🟢 Correct answer: A
🔴 RATIONALE: Keeping the bed in the lowest position with the brakes locked reduces the risk of injury from a
fall. Side rails should only be used with a physician's order, and the highest position increases fall risk. A
commode at the foot of the bed is not safe.
Question 3
, A patient is experiencing a seizure. Which of the following is the priority nursing action?
A. Place a padded tongue blade in the patient's mouth
B. Restrain the patient to prevent injury
C. Protect the patient's head and maintain a patent airway
D. Administer intravenous diazepam
🟢 Correct answer: C
🔴 RATIONALE: During a seizure, the priority is to protect the patient from injury, especially by protecting the
head and maintaining a patent airway. Do not place anything in the mouth, and do not restrain the patient.
Question 4
A nurse is reinforcing teaching with a patient who has a new prescription for a metered-dose inhaler (MDI).
Which instruction should the nurse include?
A. "Inhale slowly and deeply while pressing the canister."
B. "Hold your breath for 10 seconds after inhaling."
C. "Exhale immediately after inhaling."
D. "Use the inhaler only when you have symptoms."
🟢 Correct answer: B
